Individual provider · Type 1 NPI

Jason Wayne Wyatt, LPCC

Professional Counselor · Las Cruces, NM

NPI number 1760780241 Active

Practice location

1705 N Valley Dr Ste 12
Las Cruces, NM 88007-5121

Call (575) 642-5544 Map

Mailing address

PO Box 375
Fairacres, NM 88033-0375

Other practice locations

  • 10015 Robert Larson, Las Cruces, NM 88007-9005 · (575) 526-5900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0134631 (NM)
Professional Counselor Primary 101YP2500XCCMH0175961 (NM)

Professional Counselor: Definition to come...

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About NPI 1760780241

Jason Wayne Wyatt, LPCC's National Provider Identifier is 1760780241, issued on Mar 7, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Cruces, NM. The record was last updated on Sep 7, 2021.